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Clinical assessment of intra-articular injection of butorphanol in management of temporomandibular joint internal derangement

Al-Kibsi, Taghreed A.M.a; Elsharrawy, Eman A.b; Ghanem, Walid A.b; El Sholkamy, Mohammed A.b; Tawfik, Mona K.c

Egyptian Journal of Oral & Maxillofacial Surgery: October 2017 - Volume 8 - Issue 3 - p 83–87
doi: 10.1097/01.OMX.0000525216.51469.67
CLINICAL STUDIES

Objectives The objectives of the present study were to evaluate the efficacy of using butorphanol tartrate after arthrocentesis for management of patients with internal derangement (ID) of temporomandibular joint (TMJ) through clinical study.

Patients and methods The study included 40 patients who had ID of TMJ stage II or III according to Wilkes classification, who were divided randomly into two equal groups. The study group was treated by arthrocentesis followed by intra-articular injection of 1 mg of butorphanol tartrate, which is equal to 0.5 ml of solution. The control group was treated by arthrocentesis followed by intra-articular injection of 1 ml of sodium hyaluronate.

Results There was a statistically significant decrease in the visual analog scale, as well as a significant increase in both the maximum mouth opening and the lateral excursion, in the study group compared with the control group, and there was a statistically significant improvement in the study group compared with the control group with regard to clicking sound.

Conclusion Intra-articular injection of butorphanol after arthrocentesis provides a long-term palliative effect in the clinical study of TMJ ID.

aDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sana’a University, Sana’a, Yemen

bDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry

cDepartment of Pharmacology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Correspondence to Taghreed A.M. Al-Kibsi, MSc, Assistant Lecturer of Oral and Maxillofacial Surgery Faculty of Dentistry Sana’a University, Egypt Tel/fax: +20 1127610387; e-mail: smiletaa2008@yahoo.com

Received July 1, 2017

Accepted July 15, 2017

© 2017 Egyptian Associations of Oral and Maxillofacial Surgery
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